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Contact Information

DEANA L WILSON, PSYD
420 E QUAIL RUN
OAK CREEK, WI53154-5792
 Phone: 414-303-5465
 Fax: 414-310-7496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for DEANA L WILSON · (Female)

NPI # 1891955274
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/10/2008
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 2920
  • WI License # 2920-57
  • WI License # 4085
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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